Doctor Resources Pembroke Pines: 954-437-9300 Weston: 954-633-5488

Lifestyle Cataract & IOL Self Evaluation Test

In order to better understand which type of post-cataract surgery lens would be most beneficial to your lifestyle we have created a self-evaluation test that can be submitted to CorrectVision for review of your visual situation. Please fill out the form and we will suggest a lens that will meet your visual and lifestyle needs.

  1. (required)
  3. (valid email required)
  4. How interested are you in seeing at a distance, driving or playing golf without glasses after your cataract surgery?
  6. Are you interested in seeing well up close (reading) without glasses after your cataract surgery?
  8. If you had to wear glasses after your vision treatment for one of the following activities, which one would you most be willing to wear glasses for?
  10. If you could have good vision for driving during the day without glasses, and good near vision without glasses in most situations, would you be able to tolerate some halos and glare around lights at night?
  12. If you could have good distance vision day and night, and good vision for computer work, without glasses, would you be willing to wear glasses for reading fine print and small type?
  14. In our daily lives there are different things we do that require us to SEE at different distances. We have grouped some of these vision activities into 5 lifestyle zones. Think about the things in life you want to do the most without depending on glasses after cataract surgery. Which group is the most important
  16. Consider your personality. Based on the options scale below how would you rank your personality?
  18. Captcha
  19. *Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use.
 

cforms contact form by delicious:days